Kailin Michele Daniels, COTA

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5564-27 Issued in WI

Practice address

211 S Curtis St
Lake Geneva, WI 53147-2052

Phone

(262) 248-3145

NPI assigned

Aug 15, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1457907313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 RIVER PARK CIR W APT 204",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531492014",
            "telephone_number": "262-581-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S CURTIS ST",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531472052",
            "telephone_number": "262-248-3145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 N Church St",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "WI",
            "postal_code": "531212204",
            "country_code": "US",
            "telephone_number": "262-723-4963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "KAILIN",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5564-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Adult Family Homes
• Ernst A. Cornielsen, D.D.S.
• Kim M. Cuculi, O.T.R.
• Kimberly K Dama, PT
• Christina Dame, LPC
• Michaela Ann Daniels, MS, CCC-SLP
• Kathryn J Davey, PT
• Catherine Redding Davis, LCSW
• Skye Branovan Davis, LMT
• Marina Deatherage

• Occupational Therapist in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.